郁证与寤寐失常的相关性探究  

Relationship between stagnation syndrome and sleep disorders

作　　者：周宇馨 岳利峰 马培[2] 李志更[3] 吴柔燕 贾岳津 刘鑫雨 胡天时 刘金瑛 刘林[4] ZHOU Yuxin;YUE Lifeng;MA Pei;LI Zhigeng;WU Rouyan;JIA Yuejin;LIU Xinyu;HU Tianshi;LIU Jinying;LIU Lin(Dongzhimen Hospital,Beijing University of ChineseMedicine,Beijing 100700;Instituteof Medicinal Plant Development,Chinese Academy of Medical Sciences;Institute of Basic Theory for Chinese Medicine,China Academy of Chinese Medical Sciences;Traditional Chinese Medicine Hospital of China Three Gorges University&Yichang Hospital of Traditional Chinese Medicine)

机构地区：[1]北京中医药大学东直门医院,北京100700 [2]中国医学科学院药用植物研究所 [3]中国中医科学院中医基础理论研究所 [4]三峡大学中医医院宜昌市中医医院

出　　处：《现代中医临床》2022年第6期30-35,共6页Modern Chinese Clinical Medicine

基　　金：国家自然科学青年基金项目(No.81302960);国家自然科学基金面上项目(No.82174046);北京中医药大学杰出青年人才项目(No.BUCM-2019-JCRC007);中国医学科学院医学与健康科技创新工程项目(No.2021-I2M-1-031,No.2022-I2M-2-002)。

摘　　要：郁证是郁积滞留之物难以发越的总称,与西医抑郁症表现相似。寤寐失常专指睡眠障碍,主要表现为不寐和多寐,可为郁证表现之一。临床多见郁证与不寐关联紧密,郁证也可致多寐。不寐和多寐的病机主要涉及肝、心两脏,并与痰、瘀关系密切。古今文献及方药已证实郁证致不寐和多寐联系紧密并普遍存在。西医学研究中,抑郁症可致失眠和嗜睡,以及精神心理因素及其机制和抗抑郁疗法的记载。Stagnation syndrome(yù zhènɡ), or constraint syndrome, is a general term for the stagnation of things that are difficult to be dissipated, which is manifested in a fashion similar to depression in western medicine. The concept of mèi bìnɡ in TCM refers specifically to sleep disorders and is also one of the manifestations of stagnation syndrome. It is common in clinical practices that stagnation syndrome is closely related to insomnia, and may also lead to the other extreme: somnolence. The pathogenesis of insomnia and somnolence mainly involves the liver and heart, and is closely related to phlegm and blood stasis. Ancient and modern literature and prescriptions have confirmed that the connection between stagnation syndrome and the two sleep-related diseases is remarkably close and commonly seen. In modern medical research, depression has been proven to cause insomnia and somnolence. There are also records of mental and psychological factors that are in play as well as their mechanisms and antidepressant therapies.

关 键 词：郁证 不寐 多寐 病因病机 

分 类 号：R256.23[医药卫生—中医内科学]